Individual ProviderJuliana JordanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1151 W Divide Ave, Bismarck, ND 58501-1236(701) 751-7797(701) 751-2974PECOS EnrollmentBased on the most recent information from CMS, provider Juliana Jordan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1457039414Provider TypeIndividualFull NameJordan, JulianaGenderFemaleSole ProprietorNoEnumeration Date7/10/2023Last Updated7/10/2023Contact InformationPractice LocationPractice Address1151 W Divide Ave, Bismarck, ND 58501-1236Phone(701) 751-7797FaxUnlisted FaxMailing LocationMailing Address1151 W Divide Ave, Bismarck, ND 58501-1236Phone(701) 751-2974FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2700North Dakota